An 11-month-old boy weighing 10 kg has had 36 hours of watery diarrhoea and vomiting. He lies quietly in his m…

Question

An 11-month-old boy weighing 10 kg has had 36 hours of watery diarrhoea and vomiting. He lies quietly in his mother's arms and opens his eyes when spoken to. His heart rate is 168 beats per minute (105-150 for age), respiratory rate 42 breaths per minute, blood pressure 88/58 mmHg (systolic 70-105 for age) and temperature 36.6 degrees Celsius. His hands and feet are cool to the wrists and ankles and capillary refill is four seconds. Which one of the following best describes his circulatory state…

Accepted Answer

Compensated shock with normal blood pressure

Answer

Circulatory failure with established hypotension

Answer

Dehydration without circulatory compromise

Answer

Sinus tachycardia due to distress and crying

Answer

Warm shock from bacterial sepsis

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